Diagnosis of acute cholecystitis using hepatobiliary scan with technetium-99m PIPIDA
| Autor: | Michael T. Bennett, Murray I. Sheldon, Paul M. Weber, Leo V. dos Remedios |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Nausea Bilirubin Isotopes of technetium chemistry.chemical_compound Technetium-99 Cholecystitis medicine Humans Radionuclide Imaging Aged Abdomen Acute business.industry Imino Acids Gallbladder Technetium Technetium Tc 99m Lidofenin Organotechnetium Compounds General Medicine Middle Aged Surgery medicine.anatomical_structure Liver chemistry Biliary tract Vomiting Female Bile Ducts Radiology medicine.symptom business Technetium-99m |
| Zdroj: | The American Journal of Surgery. 142:338-343 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/0002-9610(81)90343-3 |
| Popis: | Sixty patients were evaluated for acute abdominal pain using technetium-99m PIPIDA hepatobiliary imaging. The sensitivity of the test was 90.6 percent in all patients and the accuracy was 93.3 percent. In the evaluation of acutely ill patients with right upper quadrant pain, fever, nausea and vomiting, hepatobiliary imaging with PIPIDA is the preferred test for diagnosing acute cholecystitis. If the test is positive, disease of the gallbladder and probably acute cholecystitis are present. Early operation can proceed if desirable. If the test is negative and the bilirubin level is less than 5.0 mg/dl, acute cholecystitis is not present. In such cases conservative treatment is appropriate, and follow-up tests should be performed to evaluate the possibility of chronic cholecystitis. When the bilirubin level exceeds 5.0 mg/dl, the test is often indeterminate. |
| Databáze: | OpenAIRE |
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